Long Term and Residential Care Membership

This is the membership application for Long Term Care and Residential Care facilities. If you are applying as an individual or on behalf of another type of organisation, please go back and select the appropriate application.

If you have any difficulty completing the form or any questions about the membership application process, please contact coalition@greenhealthcare.ca

New Membership
Total Amount
Organisation Details
Number of persons employed (head counts) and number of full-time equivalents (FTE) persons employed. Self-employed are included.
Number of separate care sites.
Health Care Details
Please enter a Username to create an account. If you already have an account please login before completing this form.
Primary Contact